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1760031652
CECELIA VERGO
SHREVEPORT, LA
NPI
1760031652
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: LA PST.023198)
Enumeration Date
2019-09-04
Last Update Date
2019-09-04
Business Address
CECELIA VERGO PHARMD
388 BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71106-8123
Phone number: 318-687-7558
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Mailing Address
CECELIA VERGO PHARMD
103 FOUNTAINBLEU DR
SHREVEPORT, LA 71115-2719
Phone number:
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